Individual
DR. IBHA SEDENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP/APRN/FNP/PMHNP
Contact information
Practice address
331 N MAITLAND AVE STE C3, MAITLAND, FL 32751-4754
(407) 214-5127
(920) 696-8797
Mailing address
10524 MOSS PARK RD STE 204, ORLANDO, FL 32832-5801
(951) 468-6463
(920) 696-8797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9281432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01125253
RAILROAD MEDICARE
FL
Enumeration date
09/10/2012
Last updated
06/26/2024
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